220905 06/17/2013 CITY OF CARMEL, INDIANA VENDOR: 366015 Page 1 of 1
ONE CIVIC SQUARE WEX BANK
CARMEL, INDIANA 46032 PO BOX 6293 CHECK AMOUNT: $404.53
CAROL STREAM IL 60197-6293
CHECK NUMBER: 220905
CHECK DATE: 6/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 33120007 404 . 53 7560-00-112248-0
Invoice Statement
MARATHON INVOICE NUMBER: 33120007
ACCOUNT NAME: CARMEL POLICE DEPT
PAGE 1 OF 1
ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE
7560-00-112248-0 2,000.00 31 MAY-2 JUN-26-2013
... ACTIVITY DESCRIPTION PAYMENTS/CRE DITS
PAYMENT THANK YOU 531.81
FUEL PURCHASES
...... . .........
REMINDER
...... REMINDER PLEASE BE SURE TO INCLUDE REMITTANCE STUB
WITH PAYMENT. MAIL TO THE ADDRESS SHOWN IN THE
RIGHT PORTION OF THE REMITTANCE STUB.
PURCHASES,RETURNS AND PAYMENTS MADE JUST PRIOR TO BILLING DATE MAY NOT APPEAR UNTIL THE NEXT INVOICEISTATEMENT.
PREVIOUS BALANCE I (-)PAYMENTS I (+)PURCHASES (+)DEBITS (-)CREDITS I (+)LATE FEE I (=)NEW BALANCE
531.811 531.811 404.53 0.00 0.00 0.00 404.53
CALL CUSTOMER SERVICE TO PAY BY PHONE
FEDERAL TAX ID: 841425616 The Late Fee is determined by Which is an EFFECTIVE ANNUAL To the balance subject to late
applying a monthly rate of RATE of fee for this period which is
2.08 % 24.99 % 0.001
Coo M1=I1C:DQ1=QMC Cr%D IRADnOTAKIT IK1rn0RAATInKI Atkin TFZPrAACZ
Balance Subject to Late Fee Payment Options
The late fee will be calculated by determining the total balance Mail
due on the date your account becomes delinquent,as follows: Be sure to include bottom portion of invoice with your payment.
adding the total amount due on your Account on the payment due Write your account number or invoice number on the check to help
date together with any purchases posted to your Account from avoid delays in payment processing if the check and remit stub
the end of the last billing cycle through the payment due date and become separated.
subtracting from that amount any payments and/or credits entered
during that period.The total balance due will then be multiplied Allow 10 business days prior to the due date for mailing to help
by the applicable periodic rate to determine your late fee.In the avoid late fees.Mail payments to:
event that the calculated late fee is less than ten dollars($10.00), Fleet Services
a minimum late fee of ten dollars($10.00)will be charged. PO Box 6293
Your Account will be delinquent if you do not pay it in full within Carol Stream, IL 60197-6293
26 calendar days of the billing date appearing on your invoice. Online
Certain customers,based upon our credit review,may be required Authorized users can elect to receive an email notification when an
to make payment in less than 26 calendar days on a cycle that we invoice is ready for online viewing and payment.Log in or register to
may establish for you.In addition,certain customers may elect a set up an online account at www.marathonfleetcard.com/login.
shorter billing or payment cycle as offered by us.
Online payments scheduled by 3:00 PM ET(on business days)
If your payment due date falls on a non-business day,payment is are credited to your account on the same day.There is no fee for
due on the business day before the payment due date.Delinquent online payments.
Accounts will be subject to late fees,suspension,or termination
of credit privileges,without notice.All charges must be paid in Phone
full regardless of disputes.Charges must be disputed in writing Call Customer Service at 1-866-544-0699 and select the menu
no later than sixty(60)days from the billing date or they will be option for Billing Inquiries. In addition to scheduling a payment,you
considered final and binding. can also check your balance.
Card Issuer Payments scheduled by 3:00 PM ET(on business days)
The Marathon Fleet Card is issued by,and all card transactions are credited to your Account on the same day.
are funded by and payable to,WEX Bahk,under a Business Be prepared with your fleet card account number and a sample
Charge Account Agreement with the cardholder named on the check to enter your bank account number and routing number.
reverse. There is no fee for phone payments.
Customer Service Automated Clearing House(ACH)
For account Inquiries and correspondence in regard to account To make a one-time electronic payment go to:
service or billing: http://www.e-fleet.com
• Call 1-866-544-0699, or ACH payments scheduled by 2:30 PM ET(on business days)are
credited to your account on the same day.There is a fee for each
• Fax to 1-800-395-0809, or ACH payment.
• Mail to P.O. Box 639, Portland, ME 04104
Be sure to include your account number on all correspondence.
PARENT ACCOUNT: REPORT FOR:
CARMEL POLICE DEPT CARMEL POLICE DEPT
MARATHON 7560-00-112248-0
MAY-01-2013 TO MAY-31-2013
Purchase Activity Report PAGE 1 OF 6
I CARD NUMBER I:CARD EMBOSSING:i :1 VEHIICLE I:ASSet IDENTIPIER�. 'VF�-HICLF-DESCRIPTIOW", VIN
0002 -
DATE TIME SITE ADDRESS PROMPT TRANI ODOM. PROD UNITS COST/ FUEL$ OTHER EXEMPT NET$ REPORTED EXC.
MM-D INFO CODE UNIT $ TAX TAX CODES
PREVIOUS ODOMETER 48,327
05-06 06:51 12512 E 116th St Fishers IN F Driver OF 48,532 UNL 15.395 3.769 58.02 6.25- 51.77 2.77-
05-10 17:10 12512 E 116th St Fishers IN F Driver OP 48,848 UNL 11.236 3.649 41.00 4.48- 36.52 2.02-
05-21 08:47 12512 E 116th St Fishers IN F Driver OP 49,498 UNL 15.328 3.849 59.00 6.31- 52.69 2.76-
05-25 22:13 12512 E 116th St Fishers IN F Driver OP 49,707 UNL 10.835 3.759 40.73 4.39- 36.34 1.95- ET
............
...... . ............ . 2143 A77132 9..%
PERIODTOTALS:: ......
........ ...
...... 419A7 3.14
.. ....I :: :': 470 2
YTIJ:TOTALS ................
76
.......... . ... .12&579:.
PERIOD AVERAGES:MPG,PPG,OPM 26.14 3.765 0.14
YTD AVERAGE:PPG 3.661
TO ENSURE MORE AZ;CUR MILEAGE-REPO TING,VEHICLE MILEAGE 3TATISTICS AF E NOT
CAICULATED WHEN KEY DDOME TER READ I NGS ART NOT WITHIN AN ACCEPT 6,BLE RANGE.
TRANSACTION CODES: EXCEPTION CODES:
OP=Outdoor Payment Terminal ET=Purchase End Time
Mal
PARENT ACCOUNT: REPORT FOR:
CARMEL POLICE DEPT CARMEL POLICE DEPT
A 7560-00-112248-0
MARATHON
. MAY-01-2013 TO MAY-31-2013
Purchase Activity Report PAGE 2 OF 6
1 CAR0NUM15EIR2.i::: I CARD EMBOSSING
-SET IDENTtFIEW:�::ii:i*i 1::VEHICLE DESCRIPTION:: I PLATE(ST) !:j VIN:....
��/AS
10007
DATE TIME SITE ADDRESS PROMPT TRAN ODOM. PROD UNITS COST/ FUEL$ OTHER EXEMPT NET$ REPORTED EXC.
MM-DD INFO CODE UNIT $ TAX TAX CODES
PREVIOUS ODOMETER 14,000
05-07 06:58 2420 W Jefferson Fort Wayne IN F Driver OF 15,600 UNL 13.528 3.659 49.501 5.40- 44.10 2.44-
4.
113�$2
PERIOD TOTALS:. ,. '' : — :: : I 8
4950 5.40r
3140- 273:7
YTD TOTALS. ::;::: 83�544 307:13
PERIOD AVERAGE:PPG 3.659
YTID AVERAGE:PPG 3.676
TO ENSURE MORE A,3CUR MILEAG=-REPO TING,VEHICLE MILEAGE 3TATISTICS AF E NOT
CAI CULATED WHEN KEY DDOME TER READ I NGS ARE NOT WITHIN AN ACCEPT 6,BLE RANGE.
TRANSACTION CODES:
OF=Outdoor Payment Terminal
PARENT ACCOUNT: REPORT FOR:
CARMEL POLICE DEPT CARMEL POLICE DEPT
MARATHON 7560-00-112248-0
MAY-01-2013 TO MAY-31-2013
Purchase Activity Report PAGE 4 OF 6
5ESCRIIPTIOIIC::�::,�: PLATE ST VIN
I CARD NUMBER::::::::: I CARD EMBOSSING: VEHICLE t ASSET IDENTIFIER I:VEHICLE
10010 1
DATE TIME SITE ADDRESS PROMPT TRAN ODOM. PROD UNITS COST/ FUEL$ OTHER EXEMPT NET$ REPORTED EXC.
MI INFO CODE UNIT $ TAX TAX CODES
PREVIOUS ODOMETER
05-07 11:10 8717 US Highway Fort Wayne IN F Driver OP 17,000 UNL 21.146 3.699 78.22 8.48- 69.74 3.81- FC,TU
. . .........
21A.4 7$.22
69,74:.... 3.81-
3:91-
&48 69.74
YTD TOTALS::.:. 21,146:: ::
.7822
PERIOD AVERAGE:PPG 3.699
YTD AVERAGE:PPG 3.699
TO ENSURE MORE A:;CUR ATE MILEAGE-REPO F TING,VEHIC EMILEAGE 3TATISTICS AF E NOT
CAI CULATED WHEN KEY DDOME TER READINGS ARE NOT WITHIN AN ACCEPT'\BLE RANGE,
TRANSACTION CODES: EXCEPTION CODES:
OP=Outdoor Payment Terminal FC=Fuel Cost/Trans
TU=Fuel Units/Trans
PARENT ACCOUNT: REPORT FOR:
CARMEL POLICE DEPT CARMEL POLICE DEPT
MARATHON 7560-00-112248-0
. MAY-01-2013 TO MAY-31-2013
Purchase Activity Report PAGE 3 OF 6
CARD NUMBER': C�ARQEMBOSSING:- I.:VEFIICLF-I:Tk$$ET:[()ENTIPIER::i:i::::: I:VEHICLE DESCRIPTION:: PLATE(ST: ;' °s>s)<'VIN:::::
0008
DATE TIME SITE ADDRESS PROMPT TRANI ODOM. PROD UNITS COST/ FUEL$ OTHER EXEMPT NET$ REPORTED EXC.
MM-0 INFO CODE UNIT TAX TAX CODES
PREVIOUS ODOMETER
05-25 18:54 5850 E 71st St Indianapol IN F Driver OF UNL 10.893 3.679 40.081/ 4.35- 35.73 1.96-
. .. .......
.. .- .... 1. 11, 1 :::::: : :::4 3 A::"
PERIODTOT-ALS .. .......... ..10,893:
Y.TD TOTAII 71090
...... 256 4:::::::::.. .28.0.9 8:55 127
.. . ....... ......
PERIOD AVERAGE:PPG 3.679
YTD AVERAGE:PPG 3.610
TO ENSURE MORE AZ;CUR MILEAG I TING,VEHICLE MILEAGE TATISTICS APE NOT
CAI CULATED WHEN KEY DDOME TER READINGS AR I:NOT WITHIN AN ACCEPT 4BLE RANGE.
TRANSACTION CODES:
OF=Outdoor Payment Terminal
N--
PARENT ACCOUNT: REPORT FOR:
CARMEL POLICE DEPT CARMEL POLICE DEPT
MARATHON 7560-00-112248-0
MAY-01-2013 TO MAY-31-2013
Purchase Activity Report PAGE 5 OF 6
I CARD NUMBER I CARD:EMBQSSING:. . ',".VEHF�CLEIASSEr:[DENTIPIER [NEHICLEDESCRIPTIOW.... .PLATE
10011
DATE TIME SITE ADDRESS PROMPT TRANI ODOM. PROD I UNITS COST/ FUEL$ OTHER EXEMPT NET$ REPORTED EXC.
MM-DD INFO CODE UNIT TAX - TAX CODES
PREVIOUS ODOMETER 56,892
05-18 14:15 3400 Old State R Martinsvil IN F Driver OP 58,492 UNL 10.258 3.899 40.00 4.25- 35.75 1.85-
05-25 12:07 7487 E Old Road Pierceton IN F Driver IP 58,919 UNL 12.456 3.769 46.95 5.06- 41.89 2.24-
. .........
PERIOD'TOTALS:* ::9.311
,.:..:22.7 14
YTD.TOTALS S3.412: 201.95. 21,71
. ............. .........
PERIOD AVERAGE:PPG 3.828
YTD AVERAGE:PPG 3.781
TO ENSURE MORE A3-CUR MILEAGE REPO TING,VEHICLE MILEAGE 3TATISTICS A NOT
CAI CULATED WHEN KEY DDOMETER READINGS ARE NOT WITHIN AN ACCEPT,\BLE RANGE.
TRANSACTION CODES:
OP=Outdoor Payment Terminal
I P=Indoor Payment Terminal
12-
MARATHON
This page is intentionally left blank.
PARENT ACCOUNT: REPORT FOR:
CARMEL POLICE DEPT CARMEL POLICE DEPT
MARATHON 7560-00-112248-0
A. MAY-01-2013 TO MAY-31-2013
Financial Summary PAGE OF 2
DEPARTMENT DESCRIPTION FEES PURCHASES TOTAL FEES&
QTY COST/FEE TOTAL FEES FUEL$ OTHER$ EXEMPTED TAX NET$ PURCHASES
ACCOUNT TOTALS Unleaded Regular 453.50 48.97- 404.53
: ' 45:PERID: 3:50 , . 489 . : 40 .53 404
:
. .. .. 4 >;i ..142.99-YTD
'';; 000: : 4314.70 ;t71 71'
ACCOUNTS RECEIVABLE SUMMARY-Invoice 331 0007
PREVIOUS BALANCE 531.81
PAYMENTS 531.81-
PURCHASES 404.53
DEBITS 0.00
CREDITS 0.00
ANCILLARIES 0.00
AMOUNT DUE 40453
MARATHON
This page is intentionally left blank.
PARENT ACCOUNT: REPORT FOR:
CARMEL POLICE DEPT CARMEL POLICE DEPT
MARATHON 7560-00-112248-0
® MAY-01-2013 TO MAY-31-2013
Exception Summary PAGE OF 2
.. .
:::::>::::>:>`i'::::>::>:: »>.::
.
URCHASE
...... ...... .............. .
CODE DESCRIPTION NO.OF EXCEPTIONS COST OF TRANSACTIONS
BU FUEL UNITS/BILLING CYCLE 0 0.00
DY DAYS NOT ALLOWED 0 0.00
ET PURCHASE END TIME 1 40.73
FC FUEL COST/TRANS 1 78.22
FD FUEL TRANS/DAY 0 0.00
MT MANUAL TRANS 0 0.00
PR ALLOWED PRODUCTS 0 0.00
ST PURCHASE START TIME 0 0.00
TU FUEL UNITS/TRANS 1 78.22
TOTAL 3
CARDS`NOT USED :;.; ?;;`»`.:' ><; " :'.'ss;;is. :..... .......
CARD USAGE TYPE CARD NUMBER DESCRIPTION IDENTIFIER DATE LAST USED
Asset 0001
0003
0004
0005
0006
0009
0012
0013
0014
0015
0016
0017
0018
0019
0020
0021
TOTAL CARDS:16
E
MARATHON
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PARENT ACCOUNT: REPORT FOR:
CARMEL POLICE DEPT CARMEL POLICE DEPT
MARATHON 7560-00-112248-0
A. MAY-01-2013 TO MAY-31-2013
Site Summary PAGE OF 2
BRAND ADDRESS CITY STATE ZIP NO. FUEL UNITS FUEL$ OTHER$ EXEMPT NET$
TRANS TAX
MARATHON 12512 E 116th St Fishers IN 46037 4 52.794 198.75 21.43- 177.32
3400 Old State Rd Martinsville IN 46151 1 10.258 40.00 4.25- 35.75
5850 E 71st St Indianapolis IN 46220 1 10.893 40.08 4.35- 35.73
7487 E Old Road 30 Pierceton IN 46562 1 12.456 46.95 5.06- 41.89
2420 W Jefferson Blv Fort Wayne IN 46802 1 13.528 49.50 5.40- 44.10
8717 US Highway 24 W Fort Wayne IN 46804 1 21.146 78.22 8.48- 69.74
ERIODTOTALS '.is.;;; iz::;:` 9: »:: :,:.'121.075 453:50::;:;.;; .::0.00.;''?;>:;;;q$.97= 40di53`>
ME
MARATHON
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PARENT ACCOUNT: REPORT FOR:
CARMEL POLICE DEPT CARMEL POLICE DEPT
MARATHON 7560-00-112248-0
MAY-01-2013 TO MAY-31-2013
Tax Summary PAGE 1 OF 2
TAX JURISDICTION ID EXPIRATION EXEMPTED TAX$ REPORTED TAX$ TAX TYPE TAX PRODUCT CLASS UNITS GROSS$ TAX RATE
FEDERAL 356000972 AUG-17-2014 -22.17 Federal Excise Gasoline Unblended 121 100 453;50 0.18300
FEDERAL TOTALS ,
IN 356000972 AUG-17-2014 -26.80 State Sales Gasoline Unblended 121.100 453.50 0.07000
-2180 State Excise Gasoline Unblended 121.100 453.50 0.18000
TOTALS ;;.:' , 1:80
ACCOUNT TOTALS -48.97 -21.80
MARATHON
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VOUCHER NO. WARRANT NO.
ALLOWED 20
WEX Bank
IN SUM OF $
P.O. Box 6293
Carol Stream, IL 60197-6293
$884.48
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 33121801 42-390.99 $2.00 I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
1110 33120007 42-314.00 $404.53
materials or services itemized thereon for
1110 33121801 42-314.00 $477.95 which charge is made were ordered and
received except
Friday, June 14, 2013
AL Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05/31/13 33121801 fuel cards $2.00
05/31/13 33120007 gasoline $404.53
05/31/13 33121801 gasoline $477.95
I hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer